06/10/2026
š Congrats Graduates! Graduation season has me thinking about something that rarely makes the celebration list: HIPAA Authorizations.
Part of the reason it's top of mind is that I have an 18-year-old of my own. As both an estate planning attorney and a parent, I've been reminded that when a child turns 18, the legal rules change overnight.
They may still be living at home, on your health insurance, and asking for money ā but in the eyes of the law, they are an adult.
Most discussions focus on powers of attorney and advance medical directives. Those are important. But if I had to pick just one document for my own child to sign, it would be a HIPAA Authorization.
Why? Because this isn't just about emergencies. It's about real life.
Without a HIPAA Authorization, parents may have difficulty:
⢠Discussing test results with a doctor
⢠Helping schedule appointments
⢠Speaking with medical providers during a mental health crisis
⢠Obtaining information during an unexpected hospitalization
Medical providers generally cannot share protected health information with parents once a child turns 18, even if the child is still covered under the parent's health insurance.
My priority list for new 18-year-olds:
1ļøā£ HIPAA Authorization
2ļøā£ Financial Power of Attorney
3ļøā£ Advance Medical Directive / Health Care Agent designation
4ļøā£ FERPA authorization (if heading to college)
Some estate planners might swap #2 and #3, but I put the financial power of attorney ahead of the advance medical directive. In my experience, the situations that come up most often are not catastrophicāthey're practical. A college student studying abroad gets locked out of a bank account. A fraud alert freezes access to funds. A bank won't talk to Mom or Dad.
As I worked through these documents with my own 18-year-old, it was a good reminder that legal adulthood arrives whether parents are ready for it or not.
If you have a recent graduateāor any newly minted 18-year-oldāin your life, consider adding this to your summer to-do list.